Article
An investigation into the cause of the 1983 whooping cough epidemic in the Netherlands.
Vaccine - 18 Mar 2009
van Gent Marjolein, de Greeff Sabine C, van der Heide Han G J, Mooi Frits R
Abstract excerpt
Despite more than 50 years of vaccination, whooping cough is still an endemic disease in the Netherlands with regular epidemic outbreaks. In the last 20 years, two periods of increased notifications were observed. The causes of the increased notifications in the first period, from 1983 to 1987, are contentious. At the time it was suggested to be a surveillance artifact, caused by changes in diagnostic procedures...
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